Nicole Charlebois-Refae believes in making a difference – on a global level. She has devoted much of her professional life to upgrading the quality of health care globally through her involvement with numerous international non-governmental health care organizations. Her international involvement in physiotherapy began in 1971 in South Vietnam, where she worked on a CIDA project as a member of a rehabilitation team. From 1973-75 she headed up a team of Canadian physiotherapy instructors to establish and run the first physiotherapy school in Vietnam. She trained interpreters and established a physiotherapy library. From there, she worked in Egypt with the High Institute of Physical Therapy at Cairo University and also with project Hope. In 1988, she joined the Department of Physical Therapy of the Faculty of Allied Health Sciences at Kuwait University and taught there until 2003.